AMANDA LUNDBERG
MODERN PSYCHIATRIC NURSE PRACTITIONER PC

Address: 22 Maple Ridge Dr, Cartersville, GA 30121-2228

AMANDA LUNDBERG (NPI# 1023400454, PAC ID# 0547581712) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1023400454
by National Plan and Provider Enumeration System (NPPES)
PECOS Associate Control (PAC) ID 0547581712
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20201230002038
Last Name LUNDBERG
First Name AMANDA
Gender F
Organization Legal Name MODERN PSYCHIATRIC NURSE PRACTITIONER PC
Address 22 Maple Ridge Dr
Cartersville
GA 30121-2228
Phone Number 7185340689
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 0840570297
Number of Group Practice Members 9
Professional Accepts Medicare Assignment Y
Group Accepts Medicare Assignment Y

Provider Overview

Nation Provider ID (NPI) 1023400454
by National Plan and Provider Enumeration System (NPPES)
Full Name AMANDA LUNDBERG
Taxonomy Code 363LF0000X
Taxonomy Classification Nurse Practitioner · Family
Location 53830 Generations Dr Ste 110, South Bend, IN 46635-1538

Organization Information

Organization Legal Name MODERN PSYCHIATRIC NURSE PRACTITIONER PC

Physicians Physicians in the same organization

Name Specialty Organization Address
Dumo M Opuiyo Nurse Practitioner Modern Psychiatric Nurse Practitioner PC 40 Heyward St, Brooklyn, NY 11249-7823
James Weidel Nurse Practitioner Modern Psychiatric Nurse Practitioner PC 315 Beach 9th St, Far Rockaway, NY 11691-5507
Brighid A Gannon Nurse Practitioner Modern Psychiatric Nurse Practitioner PC 1740 84th St, Brooklyn, NY 11214-2825
Melissa Martyn Nurse Practitioner Modern Psychiatric Nurse Practitioner PC 4915 10th Ave, Brooklyn, NY 11219-3301
Saron Malloy Nurse Practitioner Modern Psychiatric Nurse Practitioner PC 4915 10th Ave, Brooklyn, NY 11219-3301
Louisa Chan Nurse Practitioner Modern Psychiatric Nurse Practitioner PC 315 Beach 9th St, Far Rockaway, NY 11691-5507
Nathalie Alexandra Avignon Nurse Practitioner Modern Psychiatric Nurse Practitioner PC 315 Beach 9th St, Far Rockaway, NY 11691-5507
Adrian Balestra Nurse Practitioner Modern Psychiatric Nurse Practitioner PC 315 Beach 9th St, Far Rockaway, NY 11691-5507
Rena Kavian Physician Assistant Modern Psychiatric Nurse Practitioner PC 1740 84th St, Brooklyn, NY 11214-2825

Office Location

Street Address 22 MAPLE RIDGE DR
City CARTERSVILLE
State GA
Zip Code 30121-2228

Physicians in the same location

Name Specialty Organization Address
Irene Ibenyenwa Nurse Practitioner 22 Maple Ridge Dr, Cartersville, GA 30121-2228
Myiesha Sellers Mcfarlin Nurse Practitioner 22 Maple Ridge Dr, Cartersville, GA 30121-2228

Physicians in the same zip code prefix

Name Specialty Organization Address
Janice Elaine Zike Physical Therapy Georgia Bone and Joint Surgeons, P.c 15 Medical Nedr, Suite 101, Cartersville, GA 30121-8005
J Michael Williams Family Medicine C. Thomas Bevill IIi Md, PC 12 Medical Nedr, Cartersville, GA 30121-8002
Martha A Holley Occupational Therapy Hand Therapy Services Inc 12 Medical Dr Ne, Cartersville, GA 30121-8002
Larry R Brown Optometry 101 Market Place Blvd, Cartersville, GA 30121-2236
Ansley Della Taylor Physical Therapy Physiotherapy Associates Inc 110 Cherokee Pl, Cartersville, GA 30121-2954
David D Hubbell Physical Medicine and Rehabilitation Georgia Bone and Joint Surgeons, P.C. 15 Medical Dr Ne, Cartersville, GA 30121-8005
Jodi-Ann C Moore Physician Assistant Skin Cancer and Cosmetic Dermatology Center PC 9 Medical Dr Ne, Cartersville, GA 30121-8003
Heather Higgs Nethery Physical Therapy Independent Physical Therapy of Georgia, LLC 626 E Main St, Cartersville, GA 30121-3305
Margaret Ladell Conley Clinical Social Worker 24 A Falcon Cir Nw, Cartersville, GA 30121-7362
Amie P May Nurse Practitioner Peachtree Immediate Care Fp, LLC 122 N Morningside Dr, Cartersville, GA 30121-2912
Find all in zip 30121

Competitor

Search similar physicians

City CARTERSVILLE
Zip Code 30121
Specialty NURSE PRACTITIONER
City + Specialty CARTERSVILLE + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.